
GPs ‘reluctant to engage’ with PCTs
Gary Culliton takes a national snapshot of some of the reasons behind GPs’ lack of engagement with the primary care team process. … [Read more]

Critical Influence of Time of Day of Blood Pressure-lowering Treatment
Significant Benefits of Bedtime Therapy Variation in blood pressure levels display circadian rhythms, with a morning surge in blood pressure (BP) known to increase the risk of myocardial events in the first several hours post awakening. Time of ingestion of hypertension medications can affect this circadian pattern of BP, and there is emerging evidence … [Read more]

March events
3 Saturday Annual GP Study Day. Venue: St Vincent’s University Hospital. Time: 9.00am, Registration. 9.45am, Welcome Session. 10.45-11.15, Tea/Coffee Break. Contact: Elaine Gough, Postgraduate Administrator, Postgraduate Dept, Education & Research Centre, SVUH, Elm Park, Dublin 4. Email: e.gough@svuh.ie. … [Read more]

Studies in the school of hard knocks
Dr Patrick Rowan reviews a limited-edition book that chronicles one doctor's working life in adverse social and medical conditions. … [Read more]
News

EC seeks meeting on EWTD
By Lloyd Mudiwa. The European Commission is to seek a meeting with the Government regarding Ireland’s failure to comply with the European Working Time Directive (EWTD) for NCHDs, Irish Medical Times has established.

HSE delays stymie return of NCHDs — IMO
By Dara Gantly. The irish medical Organisation (IMO) has warned that Irish NCHDs working abroad are being denied the opportunity to return to Ireland due to prolonged recruitment processes within the HSE.

On-site assessments to begin by April — Council
By Dara Gantly. The Medical Council has published details of new procedures for assessing doctors’ performance, which will see on-site assessments for the first time introduced by the end of April.

DoH considering IMO demand
By Lloyd Mudiwa. Hawkins House has confirmed that it was considering the IMO’s assertion that the Competition Act did not constrain it to negotiate on behalf of GPs in relation to all aspects of the GMS Contract, including fees.

Waiting time targets for outpatients due by April
The senior advisor at the Department of Health’s Special Delivery Unit (SDU) expects to have the first set of targets for waiting times for outpatient appointments available by April this year.

Locums hired for Tallaght
By Gary Culliton. AMNCH Tallaght Hospital’s Orthopaedic Department has said it is managing to maintain service, despite losing senior consultant staff.

An ‘absolute duty’ to speak out for patients
By Gary Culliton. Consultants must not allow themselves to be “intimidated” by anybody — political or otherwise — from advocating on behalf of their patients, a leading consultant in the Mid West has said.

New Director of Industrial Relations recruited by IMO
By Dara Gantly. The IMO has appointed Steve Tweed as its new Director of Industrial Relations.

PCRS move on the cards
By Gary Culliton. GPs can now renew medical cards for four months for patients whose card has expired but where the GP is satisfied that their eligibility hasn’t changed, under a new plan by the Primary Care Reimbursement Service (PCRS).
IMO GPs volunteer for Operation Transformation
Clinical Times

GP management of shoulder issues
Edel Comer and Victoria Percy look at the physiotherapy management of common shoulder-joint problems in the primary care setting.

FRAX the more clinically relevant measure
In his latest Clinical Update, Gary Culliton examines recent developments in the field of osteoporosis, including diagnostic tools and issues related to glucocorticoids.

Increasing placebo response destroys evidence of benefit
Despite older tricyclic antidepressants demonstrating a significantly greater efficacy over newer drugs, a major 30-year meta-analysis concludes the differences are largely a result of changes in trial designs, leading to greater placebo response and lower drug response.

Bipolar masked as medication-resistant depression
The idea that patients who present with medication-resistant depression could be harbouring a hidden bipolar disorder has been bolstered by the largest study of the topic so far.
Opinion

Health plans in a chronic state
February 3, 2012 by Dara Gantly · Leave a Comment
Are the long-promised plans to move towards chronic disease management in primary care in a chronic condition, asks Dara Gantly.

From Drogheda to Libya
February 3, 2012 by admin · Leave a Comment
While Dr Ruairi Hanley wishes former Drogheda consultant ophthalmologist Dr Fatima Hamroush every success in her new role in the Libyan government, he laments the waiting lists that remain in the North East.

How the dead hand of bureaucracy blocks our whistleblowers
February 3, 2012 by admin · Leave a Comment
Dr Muiris Houston believes the recent treatment of Grangegorman whistleblower Louise Bayliss shows how difficult it can be for patient advocates.

In defence of ‘moral exemplar’ on Bahrain
February 3, 2012 by admin · Leave a Comment
Dear Editor, It is with some sadness that I comment on two recent letters in Irish Medical Times regarding the tragic situation in Bahrain (IMT, January 13, 2012, http://bit.ly/wKawzG). I believe your readership deserves to know a little more about the authors of same.
Viscera blog

A bunch of muppets
By Pat Kelly. A TV station in Cleveland, US, is using puppets to get around the ban on cameras in the courtroom.

Trying to keep a lid on toilet phobia
By Pat Kelly. The National Phobics Society (NPS) in the UK has launched a self-help book and DVD to tackle the growing problem of toilet phobia.

Gaming without guilt
By Pat Kelly. Video-gaming has taken on a more useful dimension after a group of players solved the structure of a protein that baffled scientists for more than 10 years.
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